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NPI Code Detail

MEDICARE: DR. EVANN DESJARDINS DC

MEDICARE: DR. EVANN DESJARDINS DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3630TN

General Provider Information

NPI Number : 1558120501
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EVANN DESJARDINS DC
Provider Business Mailing Address
First Line : 2720 OLD LEBANON PIKE STE 113
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-2531
Country : US
Telephone Number : 615-606-2637
Fax Number :
Provider Business Practice Location Address
First Line : 2720 OLD LEBANON PIKE STE 113
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-2531
Country : US
Telephone Number : 615-606-2637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2024
Last Update Date : 03/13/2024

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